<header class="bl_header2">
    <a class="icon back bb" href="javascript:igoObj.navigateToNew('/h5/my')"></a>
    <strong>意见反馈</strong>
</header>
<section class="infolist">   				
    <div class="nb">
        <label></label>
        <span class="tmg t3">&nbsp;&nbsp;&nbsp;尊敬的用户：如果您有任何意见或建议，请及时反馈，我们会尽快回复您！</span>
        <span class="clearbox"></span>
    </div>
    <div class="nb">
        <label>联系人</label>
        <input type="text" value="请输入您的联系人信息">
        <span class="clearbox"></span>
    </div>
    <div class="nb">
        <label>联系电话</label>
        <input type="text" value="请输入您的联系电话">
        <span class="clearbox"></span>
    </div>
    <div class="nb">
        <label>联系Email</label>
        <input type="text" value="请输入您的Email">
        <span class="clearbox"></span>
    </div>
    <div class="nb">
        <label>意见建议</label>
        <textarea rows="5" title="感谢您留下宝贵意见" maxlength="1000" id="feedback" class="default"></textarea>
        <span class="clearbox"></span>
    </div>
</section>    

<div class="anniu_reg">完成</div>